COMPARISON OF THE EFFECTIVENESS OF DIFFERENT RESUSCITATION STRATEGIES IN SUDDEN CARDIAC ARREST: A REVIEW OF STUDIES FROM THE LAST DECADE
DOI:
https://doi.org/10.31435/ijitss.3(51).2026.6004Keywords:
Sudden Cardiac Arrest, Cardiopulmonary Resuscitation, Extracorporeal CPR, ECMO, Targeted Temperature Management, Mechanical Chest Compression, Resuscitation OutcomesAbstract
Sudden cardiac arrest (SCA) remains one of the leading causes of mortality worldwide despite major advancements in emergency medicine and intensive care (Andersen et al., 2019; Nolan et al., 2021). Over the last decade, substantial progress has been made in the development of innovative resuscitation strategies aimed at improving survival and neurological outcomes following cardiac arrest (Panchal et al., 2020; Soar et al., 2021). The present review compares the effectiveness of contemporary approaches to cardiopulmonary resuscitation, including conventional CPR, compression-only CPR, public access defibrillation, mechanical chest compression devices, extracorporeal cardiopulmonary resuscitation (ECPR), and targeted temperature management (TTM) (Bobrow et al., 2018; Perkins et al., 2015). The article is based on publications indexed in PubMed, Scopus, and Web of Science between 2015 and 2025 (Yeung et al., 2023). Current evidence demonstrates that early recognition of cardiac arrest, immediate high-quality chest compressions, and rapid defibrillation remain the most important determinants of survival (Grasner et al., 2020; Soar et al., 2021). Compression-only CPR significantly increases bystander intervention rates and improves outcomes in adult out-of-hospital cardiac arrest (Bobrow et al., 2018). Mechanical compression systems provide procedural advantages in selected clinical settings but have not consistently demonstrated superiority over manual CPR (Perkins et al., 2015; Wang & Brooks, 2018). ECPR has emerged as a promising intervention for refractory cardiac arrest in highly selected patients, although implementation remains limited by cost and logistical complexity (Bartos et al., 2020; Richardson et al., 2017). Integrated post-resuscitation care, particularly neurological protection strategies, plays a critical role in long-term recovery (Donnino et al., 2015). Future improvements in cardiac arrest survival will depend on technological innovation, healthcare system integration, public education, and equitable access to advanced therapies (Soar et al., 2021).
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